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during initial visit R.g examination including:
-panoramic X-ray that revealed close proximity of sinus floor to alvealar ridge
-also the dental arch shows, irregular amount of bone resorption especially in premolar and molar region in upper arch.
-missing 7 6 4 2 1 , 1 2 5 6 7
-the RT side of upper region area revealed moderate amount of bone resorption.
- |_ 3 : shows root caries.
-missing 6 5 3 2 1 , 1 2 3 4 7
periapical X-ray must done to confirm the diagnosis
especially on:
|3 : shows root caries
| 5 : shows failed endodontic treatment
-RT side of lower region area revealed good amount of bone.
7 :class I, amalgam restoration
-left side of lower region area shows "irregular bone resorption"
5 : endo TTT tooth
6 : class I amalgam
checking the mobility, furcation involvement & periodontal health state of the teeth.
Scalling ,root planning & oral hygiene instruction must done to improve the oral hygiene of the Patient . then, Reschadual after two weeks to check the prognosis of the healing.
collapse extraoral facial profile
pt have missing teeth and unable to masticate
presence partially edentulous upper & lower arches, with moderately resorbed maxillary arch in premolar & molar regions, the patient have moderate oral hygiene.
The state of the teeth in the upper arch shows:
5 : shows amount of gingival recession.
-pt reported an acute attack of sinusitis about 2 weeks prior to the first appointment
The state of the teeth in lower arch shows:
-No absolute contraindication to any therapeutic or surgical modality. also, pt unwillingness for invasive surgical procedures.
5 : classII restoration.
6 :classI restoration.
also, last molar shows classI amalgam restoration.
-pt have done restorative treatment on lower 6 class I ,
7 class I last molar class I amalgam restorations
- Endo ttt 5
during first visit the pt take impressionsfor study models, bite registration&face bow transfere, as well as photographes
4 : endodontic treatment + selective grinding
intraradicular attachment { post & metal coping as core }
we will evalute the state of restoration & if there any defective restoration retreatment is must.
7 : full coverage + ring clasp .
5: retreatment for endo +intraradicular attachment {post+metal coping}.
6 : full coverage + RPI
1ry: alginate .
2ry: alginate ,
rubber base{putty} better in under cut
Idealy: bilateral, symmetrical with minimum of one tooth space between them.
- healthy attached gingiva.
- adequate periodontal support.
- No or limited mobility
impression are recorded under functional load, it record tissue in acompressed form(under bitting force)
also, known as mucocompresive technique or close mouth impression technique.
patient can exert his own masticatory force on impression material.